Detail publikačního výsledku

Physiological versus non-physiological cardiac pacing as assessed by Ultra-high-frequency electrocardiography

ČURILA, K.; JURÁK, P.; LEINVEBER, P.; SMÍŠEK, R.; ŠTROS, P.; PLEŠINGER, F.; VIŠČOR, I.; VONDRA, V.; MIZNER, J.; SUSSENBEK, O.; ZNOJILOVÁ, L.; KARCH, J.; SUŠÁNKOVÁ, M.; HALÁMEK, J.; PRINZEN, F.

Originální název

Physiological versus non-physiological cardiac pacing as assessed by Ultra-high-frequency electrocardiography

Anglický název

Physiological versus non-physiological cardiac pacing as assessed by Ultra-high-frequency electrocardiography

Druh

Stať ve sborníku v databázi WoS či Scopus

Originální abstrakt

Background: Permanent cardiac pacing can cause heart failure, with the ventricular dyssynchrony being identified as the main cause for its development. Method: His bundle pacing (HBp), left bundle branch pacing (LBBp), and left ventricular myocardial septal pacing (LVSP) were introduced recently. Their impact on ventricular dyssynchrony was not known. We used ultra- high-frequency ECG (UHF-ECG) to compare ventricular depolarization in these pacing techniques. Results: We showed the nonselective HB pacing produces the same pattern of UHF-ECG ventricular depolarization as selective HB pacing. Next, we showed the nonselective His bundle pacing in the area below the tricuspid valve has the best interventricular synchrony from all other RV pacing locations with myocardial capture. We also compared UHF-ECG-derived parameters of ventricular depolarization during HBp, LBBp, and LVSP and we showed that both pacing types from the left septal area are less physiological than nsHBp. Conclusion: UHF-ECG is an effective tool that can be used in clinical practice to assess the electrical dyssynchrony caused by cardiac pacing. Furthermore, its real-time implementation allows recognizing between physiological vs. non-physiological pacing during an implant procedure.

Anglický abstrakt

Background: Permanent cardiac pacing can cause heart failure, with the ventricular dyssynchrony being identified as the main cause for its development. Method: His bundle pacing (HBp), left bundle branch pacing (LBBp), and left ventricular myocardial septal pacing (LVSP) were introduced recently. Their impact on ventricular dyssynchrony was not known. We used ultra- high-frequency ECG (UHF-ECG) to compare ventricular depolarization in these pacing techniques. Results: We showed the nonselective HB pacing produces the same pattern of UHF-ECG ventricular depolarization as selective HB pacing. Next, we showed the nonselective His bundle pacing in the area below the tricuspid valve has the best interventricular synchrony from all other RV pacing locations with myocardial capture. We also compared UHF-ECG-derived parameters of ventricular depolarization during HBp, LBBp, and LVSP and we showed that both pacing types from the left septal area are less physiological than nsHBp. Conclusion: UHF-ECG is an effective tool that can be used in clinical practice to assess the electrical dyssynchrony caused by cardiac pacing. Furthermore, its real-time implementation allows recognizing between physiological vs. non-physiological pacing during an implant procedure.

Klíčová slova

Physiological cardiac pacing, Non-physiological cardiac pacing, Ultra-high-frequency electrocardiography, VDI Vision

Klíčová slova v angličtině

Physiological cardiac pacing, Non-physiological cardiac pacing, Ultra-high-frequency electrocardiography, VDI Vision

Autoři

ČURILA, K.; JURÁK, P.; LEINVEBER, P.; SMÍŠEK, R.; ŠTROS, P.; PLEŠINGER, F.; VIŠČOR, I.; VONDRA, V.; MIZNER, J.; SUSSENBEK, O.; ZNOJILOVÁ, L.; KARCH, J.; SUŠÁNKOVÁ, M.; HALÁMEK, J.; PRINZEN, F.

Rok RIV

2023

Vydáno

10.01.2022

Nakladatel

IEEE

Místo

Brno, Czech republic

Kniha

Computing in Cardiology 2021

ISSN

2325-887X

Periodikum

Computing in Cardiology

Svazek

48

Číslo

1

Stát

Spojené státy americké

Strany od

1

Strany do

4

Strany počet

4

URL

https://www.cinc.org/2021/Program/accepted/85_Preprint.pdf

BibTex

@inproceedings{BUT174110,
  author="Karol {Čurila} and Pavel {Jurák} and Pavel {Leinveber} and Radovan {Smíšek} and Petr {Štros} and Filip {Plešinger} and Ivo {Viščor} and Vlastimil {Vondra} and Jan {Mizner} and Ondřej {Sussenbek} and Lucie {Znojilová} and Jakub {Karch} and Markéta {Sušánková} and Josef {Halámek} and Frits {Prinzen}",
  title="Physiological versus non-physiological cardiac pacing as assessed by Ultra-high-frequency electrocardiography",
  booktitle="Computing in Cardiology 2021",
  year="2022",
  journal="Computing in Cardiology",
  volume="48",
  number="1",
  pages="1--4",
  publisher="IEEE",
  address="Brno, Czech republic",
  doi="10.23919/CinC53138.2021.9662912",
  issn="2325-887X",
  url="https://www.cinc.org/2021/Program/accepted/85_Preprint.pdf"
}